At Sean's insistence, Christian agrees to hire a staff psychologist. However, the male candidate they choose is no more ethical than Christian.

Christian is furious when Sean agrees with Grace, now the in-house psychologist, regarding a woman's desire for extensive surgery to look beautiful for her high school reunion.

Christian tries to persuade Sean to go into business with a pornography production company whose performers need cosmetic surgery. But the arrangement soon causes problems.

Sean and Christian interview a potential patient who wants his eyes to look Asian to be accepted. Meanwhile, Sean suspects domestic abuse when he notices scar tissue on a patient.

When Christian's prized possessions are vandalized, he tries to contact the women he has wronged in the past to find the culprit. He continues to ponder his behavior towards women.

When Julia finds Matt having sex with two women, she demands an intervention with the girls' parents. Julia also clashes with Sean regarding how to parent Matt.

While driving his friend Henry home, Matt looks away from the road and strikes a girl, throwing her out of sight. The boys don't realize that they've hit a pedestrian and leave.

Christian accompanies his girlfriend, Kimber Henry, to a spa where they encounter rival plastic surgeon Merrill Bobolit.

An error during surgery causes Christian to lose his confidence immediately before he and Sean must take a surgical test for recertification by the medical board.

After operating on a woman, Montana Caine, for varicose veins, Sean and Grace discover that Montana has multiple personality disorder and her alter ego wants her breasts reduced.

Christian and Sean discover a woman's being used to carry drugs into the U.S. in her breast implants, and a drug lord blackmails the doctors into handing over the implants.

Drug lord Escobar Gallardo's demands that Sean and Christian perform free operations nearly force McNamara/Troy into financial ruin.

As Sean reluctantly celebrates his 40th birthday, Christian urges him to take advantage of some of the youth-preserving treatments available at the clinic.

Sean suffers uncontrollable spasms in his hands. After he nicks a patient's major neck artery during a routine cyst lancing, Sean stops performing surgeries.

Christian and Sean agree to rehabilitate a stalwart, optimistic Somali woman, Manya Mabika, who was genitally mutilated as a girl in her home country.

Sean and Julia discover that Annie is entering puberty already. While struggling with their own issues regarding aging, they try to help their daughter understand what's happening.

Sean is broadsided by another car and rushed to the hospital. He was saved from major injury, but his view of life has changed.

While Julia enjoys socializing with "life coach" Ava Moore, Matt also makes progress working through his feelings with the alluring Ava.

Former patient Bobbi Broderick stalks the doctors, threatens to sue, drives away customers, and tries to get a reporter to do an exposé on what she perceives as their malpractice.

The doctors fear a homeless prostitute wants pro bono surgery for scars on her wrists. But she tells them she's being deified because her injuries resemble the stigmata.

Sean learns that Christian is Matt's biological father due to a premarital tryst with Julia. He ejects Julia from their house and demands his partnership with Christian be dissolved.

Having tenuously reconciled and agreed to continue their partnership, Sean and Christian consult with an exuberant newspaper journalist, Ike Connors, who wants breast implants for himself.

While the doctors work with an expert ocularist to create and implant artificial eyes for a beautiful blind woman, Natasha Charles, Christian finds himself drawn to her.

Julia severely damages her face. At first, Sean refuses to operate on her, still bitter that she recently got breast implants from a rival plastic surgeon.

Sean and Christian learn that their old associate, Merrill Bobolit, is performing cheap, illegal cosmetic surgery on poverty-stricken people.

Sean and Christian reluctantly accept the case of Trudy Nye, who wants her nose fixed.

Sean has been operating pro bono on victims of The Carver, a serial rapist. Sean attracts the attention of a newswoman, but his television exposure has terrible consequences.

Celebrity Joan Rivers (herself) consults with the doctors. However, what she requests astonishes Sean and Christian.

In the aftermath of Christian's attack by The Carver, Sean must forge a new partnership to keep the practice going.

Christian and Liz perform cosmetic surgery on an ape to help her chances of reproducing.

Sean, Julia, and Christian look for a solution as Matt spirals out of control. Christian performs surgery at his former fraternity house to help cover up a hazing ritual gone awry.

Christian has doubts about the latest Carver victim's story. The wife of an Alzheimer's patient requests extensive cosmetic surgery to find a way back into her husband's memories.

Christian becomes the prime suspect in the Carver case. An HIV-positive man who suffers from facial wasting comes to McNamara/Troy to have his appearance restored.

McNamara/Troy is in dire financial straits after Christian's arrest. Gina forms a business alliance with Julia.

A patient's extreme request leaves Christian in a dilemma. After leaving McNamara/Troy, Sean takes his surgery skills to the Witness Protection Program.

Sean questions his growing feelings for Nikki when he learns about her past. A request for surgery from a patient with Down Syndrome moves Christian to contact his birth mother.

The working relationship between Christian and Quentin worsens when they have a disagreement.

Christian and Kimber put the final touches on their wedding plans, but an unsigned prenuptial agreement casts a shadow of doubt.

Sean resolves to do whatever it takes to force Quentin out of the practice. Christian claims to be fine after Kimber's exit, but his relationship with a patient indicates otherwise.

A jet bound from Miami to New York crashes after takeoff and Julia's mother, Erica, may be on board.

A mall Mrs. Santa Claus comes to McNamara/Troy for liposuction before the holidays, but a discovery during surgery jeopardizes her marriage to Mr. Claus.

Christian learns the truth about Kimber's wedding-day disappearance when he receives a grisly clue from The Carver.

The Carver attacks a sorority house as Kit grows closer to catching her nemesis.

The doctors consider a patient's proposition. A phone sex operator wants her voice more youthful.

Sean and Julia decide about their unborn baby. A gay man wants his lover to look distinguished.

Sean and Julia hire a nanny. Sean's desires are revealed. Liz witnesses an event that changes her relationship with Michelle.

Christian wants Michelle, but she resists. Sean is in a compromising situation. A patient needs a body part reattached.

A newly rich client wants makeovers for her entire family. James blackmails Christian. Sean makes Julia a very romantic offer.

Sean has trouble with a past nanny. Christian is involved with his therapist. Burt notices Michelle and Christian's affair and proposes a solution.

Dawn returns. Burt wants facial surgery. Kimber shuns Matt's advances but succumbs to Christian's.

Sean moves Conor's surgery up as Julia frets. Mrs. Grubman makes a final cosmetic surgery request. Julia and Marlowe's relationship evolves.

Liz gets surgery to look better for her girlfriend. James uses Christian to lure Michelle into stealing another kidney.

Old acquaintances Merrill Bobolit and Escobar Gallardo need the doctors' services. All are surprised to learn Matt is married and expecting a child.

In 2026, adult Conor tries to mend his emotional wounds. Adult Annie remains tormented by her upbringing.

Sean agrees to a patient's perverse plastic surgery request. Christian proposes marriage to Michelle, but she questions his commitment, considering his past.

Sean celebrates Christmas without his family. Christian's 3-year-old son returns. James forces Michelle to help get kidneys.

Sean sells his share of the business. Gina re-enters Christian's life. James breaks free from Escobar -- but Michelle's nightmare begins.

Escobar seeks a procedure for his wife. Christian and Michelle's future is threatened. With Julia gone and Matt and Kimber expecting a baby, Sean makes a life-changing decision.

Sean and Christian settle into their practice in Beverly Hills and struggle to build it up. Opportunities arise after they meet a Hollywood publicist.

Sean and Christian learn about the glamorous side of fame and the price that people are willing to pay for it.

Sean and Julia learn more about their family dynamics as Sean resists Eden Lord's advances.

A series of unfortunate events unfold for Dawn Budge, who seeks reparative surgery from Sean and Christian.

While a patient inspires Sean to take his relationship with Kate in a new direction, Eden uses extreme methods to persuade Christian to perform surgery on a friend.

Christian, jealous over Sean's newfound fame, convinces Sean to tape a reality show based on their careers as plastic surgeons.

Sean tries to regain his youth through his relationship with Eden. Julia questions her relationship with Olivia.

Sean confronts Christian and Julia about a secret. Matt bonds with his rehab counselor, and Eden tries to bond and make peace with Julia.

As Julia's health worsens, Christian falls into old habits. Sean hires Gina as the new receptionist to get back at Christian.

After Sean takes on an agent, his role on "Hearts 'n Scalpels" is expanded. Meanwhile, Christian questions why Gina moved to Los Angeles and what her motives might be.

Christian attempts to cope in the aftermath of a death. Meanwhile, Colleen feels threatened when another talent agency shows interest in Sean's acting career.

Eden looks to Sean for help after getting into business with Kimber and Ram. A group of wealthy socialites hires Christian.

A television critic shows Sean the ugly side of Hollywood. Meanwhile, Matt has a special bond with one of Christian's patients, and the cause of Julia's ailing health is uncovered.

Tragedy strikes after Julia learns what caused her ill health. A visitor from Christian's past brings news.

Sean's physical and emotional well-being is greatly impacted after he survives the attack from Colleen.

Christian and Liz grow closer when his chemotherapy makes him ill and she becomes his caretaker. Sean reconnects with his broken family.

Sean tries to deal with his feelings for Julia. Christian meets someone who gets what he is going through.

Matt gets jealous when Sean and Raj starts to develop a father/son relationship.

Sean's hiring of a new anesthesiologist leads to trouble. Kimber goes to extreme measures.

Sean and Teddy explore their relationship and Christian relates to a patient with a unique condition.

Christian makes arrangements to secure his family's future after he's gone. Liz prepares for the wedding.

Christian searches for immortality and Kimber reacts to the news of Liz and Christian getting married.

Sean and Christian struggle to keep McNamara/Troy thriving in a failing economy.

Sean makes unusual attempts to battle his insomnia. Christian and Kimber begin a joint business venture to alleviate financial strains.

Sean and Teddy make a surprising announcement. Sean discovers some troubling news about his daughter, Annie.

Christian struggles with an angry patient. Sean and Christian learn how Matt is earning an income.

Matt's crime spree catches up with him, and Julia returns from New York. Plus, Sean learns the frightening truth about Teddy.

Erica returns married to a younger man, Renaldo Panettiere, and Mike Hamoui reveals his plans with Kimber.

Both Matt and Alexis Stone request unusual surgical procedures from Christian. Julia seeks revenge on Erica.

After a medical consult with Liz's friend, Christian contemplates his relationship with Kimber. Sean starts to heal emotionally after encountering a patient seeking perfection.

Christian's debt leads him to deception. A visitor stirs insecurity within Christian and brings joy to Sean. Christian bonds with a patient when he learns of the boy's adoption.

Sean is conflicted when the firm is requested to perform a surgical procedure on a prison inmate, Wesley Clovis. Kimber questions how far she'll go to be with Christian.

When Sean and Christian win a prestigious award from their alma mater, Sean recalls their college years.

Christian refuses to perform surgery on a model who wants to drastically alter her beauty.

Following a failed suicide attempt, a new patient seeks facial reconstructive surgery. And Christian tries a risky maneuver with Kimber to heighten their marital passion.

Christian has a crisis of conscience when Kimber's mother, Brandie, visits Los Angeles.

A teenage girl seeks out Sean and Christian for answers about her late father, Escobar Gallardo, stirring tremendous guilt within Sean.

Secrets are revealed as Sean and Christian begin psychotherapy together. Liz and Matt divulge their own confidences when they each join a therapy session.

Sean and Christian make a unique attempt to market their surgical practice to boost a lagging clientele. Christian's unconscious existential crises come to light.

Julia visits Sean and Christian in Los Angeles to share life-changing news -- and rejects romantic advances from both men.

Sean and Christian reflect on their loving, turbulent and decades-long relationship.